Innovative Care Network

LBN: Innovative Care Network
Innovative Care Network is an health care organization with primary practice located at 3721 W Michigan Ave Ste 200 , Lansing MI 48917-3600. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Corporate Health, Ambulatory Health Care Facilities / Public Health, State or Local. Agencies / Community/Behavioral Health is the primary health care specialty. Innovative Care Network can be contacted via phone (517) 515-6176, or through Tillery, Ricardo via phone (517) 515-6176.

Contact Information

Primary practice address
3721 W Michigan Ave Ste 200 Lansing MI 48917-3600
Phone: (517) 515-6176
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tillery, Ricardo MBA, LCSW, SAP, CCS
Phone: (517) 515-6176

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Corporate Health 261QC1800X
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X

Profile Details

NPI number 1255189023
LBN Legal business name Innovative Care Network
DBA Doing business as
Authorized official Tillery, Ricardo MBA, LCSW, SAP, CCS
Entity Organization
Organization subpart 1 Yes
Enumeration date May 8th, 2024
Last updated May 8th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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